| NPI | 1184087561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD470203) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT219717) |
| 207V00000X Obstetrics & Gynecology (Licence: DC MTL003538) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2020-06-14 |